Organization
BAYFRONT MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DILRUBA KHANAM M.D. (FAMILY MEDICINE PHYSICIAN)
(201) 763-6664
Entity
Organization
Contact information
Practice address
1809 JOHN F KENNEDY BLVD, GROUND FLOOR, JERSEY CITY, NJ 07305-2184
(201) 763-6664
(201) 763-6840
Mailing address
1809 JOHN F KENNEDY BOULEVARD, GROUND FLOOR, JERSEY CITY, NJ 07305-2184
(201) 763-6664
(201) 763-6840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA07937600
NJ
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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